Understanding Post-Sexual Headaches and Dry Eyes: Causes and Solutions
Headache Experiencing dry eyes and headaches the day after sexual intercourse could be attributed to several factors. It may be related to dehydration, as sexual activity can lead to fluid loss. Additionally, if you are experiencing tension or stress during or after intercourse, ...
Dr. Lin Zijing reply Neurology
Dry eyes and headaches after sexual activity may be related to parasympathetic nervous system excitation and strong contraction of the head muscles. Additionally, it is important to differentiate this from "orgasmic headache." Orgasmic headaches are more common in sexua...[Read More] Understanding Post-Sexual Headaches and Dry Eyes: Causes and Solutions
Can Medications Improve Vascular Dementia Symptoms?
Is there medication available to improve vascular dementia? Dear Doctor, My uncle, who is currently 52 years old, suffered a subarachnoid hemorrhage due to a ruptured cerebral aneurysm. He was urgently hospitalized and underwent surgery, followed by a second procedure for draina...
Dr. Lin Zijing reply Neurology
There are several medications for dementia: A. Acetylcholinesterase inhibitors 1. Donepezil (Aricept) 2. Rivastigmine (Exelon) 3. Galantamine (Reminyl) B. NMDA receptor antagonist 4. Memantine hydrochloride (Witgen) All of these require approval from the National Health Insurance...[Read More] Can Medications Improve Vascular Dementia Symptoms?
Understanding Different Types of Headaches: Is It Migraine?
Migraine? Hello, Dr. Lin. Over the past two days, I've experienced two types of headaches. On the first day, I had a throbbing pain on both sides of my temples and surrounding areas that lasted all day, which only subsided in the evening after taking over-the-counter acetami...
Dr. Lin Zijing reply Neurology
Migraine is a type of recurrent headache caused by changes in neurotransmitters in the brain, with each episode lasting from four to seventy-two hours. The characteristics of the headache include unilateral pain, which can be throbbing or pulsating, often accompanied by a heartbe...[Read More] Understanding Different Types of Headaches: Is It Migraine?
Tooth Extraction Pain: Why It Radiates to the Ear and Affects Eating
After tooth extraction, the pain radiates from the tooth to the area near the ear? I had a tooth extraction on Tuesday with anesthesia. The tooth was painful that day, but the pain was less the next day. However, the following afternoon, I felt some pain in that tooth again, and ...
Dr. Lin Zijing reply Neurology
It could be trigeminal neuralgia. The characteristics of trigeminal neuralgia are: 1. It is an intense pain rather than a dull ache. 2. The trigger points are mostly located in the central part of the face. 3. The pain occurs within the distribution of the trigeminal nerve; if it...[Read More] Tooth Extraction Pain: Why It Radiates to the Ear and Affects Eating
Understanding Diabetic Peripheral Neuropathy: Causes, Pain Management, and Recovery
Diabetic Peripheral Neuropathy Hello Doctor: My father has a history of diabetes and peripheral neuropathy. Although his blood sugar levels are under control, why has his condition been fluctuating over the past year? Can peripheral nerves regenerate? Will the regeneration proces...
Dr. Lin Zijing reply Neurology
Patients with peripheral neuropathy may experience sharp pain, tingling, or electric shock sensations in their fingertips, toes, hands, and feet. This occurs because the peripheral nerves become hypersensitive and unstable, continuously sending "pain" signals to the bra...[Read More] Understanding Diabetic Peripheral Neuropathy: Causes, Pain Management, and Recovery
Break Free from Shyness: Innovative Surgery for Facial Blushing
Sympathetic nerve block procedure Hello Doctor: Please take a moment to read this article! A surgical procedure invented in Spain can treat shyness and blushing. Many people are naturally shy, especially in public situations, where they turn red as soon as they speak. Spanish doc...
Dr. Lin Zijing reply Neurology
You should consult a thoracic surgeon or a neurosurgeon for a clearer understanding of your issue.[Read More] Break Free from Shyness: Innovative Surgery for Facial Blushing
Understanding Trigeminal Neuralgia: Treatment Options and Concerns
The trigeminal nerve? After being diagnosed with trigeminal neuralgia by a dentist, I experienced pain from April 5 to April 10 this year. The doctor advised against taking medication due to concerns about developing depression from the pain, which was unbearable. I started takin...
Dr. Lin Zijing reply Neurology
If a diagnosis of trigeminal neuralgia is confirmed, treatment can be divided into pharmacological therapy and surgical therapy. Pharmacological therapy: Generally, medication is administered for one to two months before reassessing the situation. This approach serves two purpo...[Read More] Understanding Trigeminal Neuralgia: Treatment Options and Concerns
Understanding Diabetic Peripheral Neuropathy: Symptoms, Treatment, and Family Links
Diabetic peripheral neuropathy Hello Doctor: My father has a history of diabetes for 11 years. Last year, he experienced numbness and pain in his limbs, sometimes feeling numb all over. He visited the neurology department at Taichung Veterans General Hospital, where he was diagno...
Dr. Lin Zijing reply Neurology
1. Does diabetic peripheral neuropathy cause severe pain and numbness throughout the body? Answer: It mostly causes numbness and pain in the extremities, with a small portion experiencing pain in a single nerve. 2. Can the numbness and pain from diabetic peripheral neuropathy ...[Read More] Understanding Diabetic Peripheral Neuropathy: Symptoms, Treatment, and Family Links
Managing Anxiety and Balance Disorders After Brain Injury
Anxiety. Disruption of balance in the brain? Hello Dr. Lin: I am 36 years old and had a serious car accident when I was 17. At that time, I suffered a severe concussion, and I lost vision in my right eye due to a severed optic nerve. Recently, over the past 1-2 months, I have bee...
Dr. Lin Zijing reply Neurology
Your symptoms are quite diverse, and generally, such a condition is not associated with neurological disorders. There is a term commonly used: "neurasthenia," which is also referred to as "autonomic nervous system dysfunction," and it may resemble your symptom...[Read More] Managing Anxiety and Balance Disorders After Brain Injury
Understanding Neurological Symptoms: Seeking the Right Specialist for Diagnosis
Symptom inquiry? Hello Dr. Lin: Recently, I have been experiencing many symptoms and have seen numerous doctors in various hospitals without finding the cause. Could you please help explain my symptoms? 1. I have sharp pain in the left back of my head accompanied by muscle spasms...
Dr. Lin Zijing reply Neurology
Your symptoms are quite broad and nonspecific, which may indicate the presence of two to three concurrent conditions or a transient episodic illness. Here are some analyses based on your symptoms: 1. Headache: The stabbing pain and spasms in the back of your head may be due to n...[Read More] Understanding Neurological Symptoms: Seeking the Right Specialist for Diagnosis
Understanding Dizziness: Exploring Pituitary Gland Issues and Treatment Options
Dizziness I have been experiencing symptoms of dizziness for several years, which affects my daily life. I can't find the cause and have been relying on medication, but there hasn't been much improvement. Currently, the doctor has prescribed medication to improve cerebr...
Dr. Lin Zijing reply Neurology
The pituitary gland is divided into the anterior and posterior lobes. The anterior lobe secretes hormones including growth hormone, thyroid-stimulating hormone, and adrenal hormones; the posterior lobe only secretes prolactin and antidiuretic hormone. If there is hyperplasia or a...[Read More] Understanding Dizziness: Exploring Pituitary Gland Issues and Treatment Options
Understanding Alzheimer's Medication Costs and Insurance Coverage
Medication Issues in Alzheimer's Disease My father-in-law is receiving treatment for dementia at Hualien Tzu Chi Hospital. Recently, the doctor mentioned that there has been no improvement with the medication, and since the drugs are expensive, it feels like a waste to conti...
Dr. Lin Zijing reply Neurology
Currently, the medications used to treat Alzheimer's disease primarily include donepezil (Aricept), rivastigmine (Exelon), galantamine (Reminyl), and memantine (Witgen). Health insurance regulations require that these medications be prescribed only after blood tests, memory ...[Read More] Understanding Alzheimer's Medication Costs and Insurance Coverage
Managing Occasional Dizziness: Tips for Stabilizing Brain Pressure
Occasional dizziness symptoms? Occasionally, I experience dizziness, especially after waking up. After consulting a doctor, I was informed that I have unstable intracranial pressure. What lifestyle changes should I make to manage this condition? What foods should I consume to hel...
Dr. Lin Zijing reply Neurology
Intracranial pressure (commonly referred to as brain pressure) refers to the pressure within the closed cranial cavity. It is generally considered that normal intracranial pressure ranges from 0 to 150 millimeters of water (mmH2O). When intracranial pressure is elevated, it can r...[Read More] Managing Occasional Dizziness: Tips for Stabilizing Brain Pressure
Understanding Head Pain: When to See a Neurologist for Symptoms
Headache Hello, I would like to ask about a recent issue. I often feel pain in the left back of my head, which feels like a bump or pulling on my hair, and it lasts for about 2-3 days before subsiding. Recently, I have also been experiencing brief and mild dizziness, where things...
Dr. Lin Zijing reply Neurology
Pain in the back of the head is mostly located in the occipital region or the upper neck. The structures in this area include the occipital lobe of the brain, the cerebellum, the upper cervical vertebrae, surrounding muscles, and the vertebral arteries. Generally, headaches cause...[Read More] Understanding Head Pain: When to See a Neurologist for Symptoms
Unexplained Dizziness: Navigating Neurological Concerns and Next Steps
Dizziness of unknown origin? Hello Doctor, I have been experiencing continuous dizziness for a week (at times, it feels like there is a force pushing my eyeballs outward), slight imbalance while walking, and decreased dexterity in my hands. Occasionally, I have tremors, nausea, a...
Dr. Lin Zijing reply Neurology
The causes of dizziness can be broadly categorized into the following: 1. Vestibular disorders: Such as motion sickness, viral infections, abnormal displacement of otoliths, and Meniere's disease. 2. Visual disorders: For instance, wearing glasses with an incorrect prescrip...[Read More] Unexplained Dizziness: Navigating Neurological Concerns and Next Steps
Understanding Ear Noises: When to See a Neurologist for Vascular Issues
Is the noise in the right ear related to vascular issues? Hello Doctor: I have a faint noise in my right ear that resembles static from poor reception and sounds like something crawling inside. It is not painful or itchy, and it is not very loud tinnitus. I went to an ENT special...
Dr. Lin Zijing reply Neurology
Tinnitus is characterized by subtle sounds in the ears, which can vary widely. Some may resemble a "rumbling" noise like machinery in a factory, while others may sound like "swishing" or "chirping," similar to cicadas, or a "whooshing" soun...[Read More] Understanding Ear Noises: When to See a Neurologist for Vascular Issues
Understanding Migraines: Causes, Treatment, and Genetic Factors
Head Hello Doctor: I suffer from migraines, and after examinations, the doctor said everything is fine, but I still experience frequent headaches, which are particularly noticeable before and after my menstrual period. Is this related to my migraines? Additionally, could medicati...
Dr. Lin Zijing reply Neurology
Research has found that migraines are influenced by individual constitution and are related to genetics. Additionally, they can be triggered by internal or external stimuli such as stress, lack of sleep, changes in weather, certain foods, hormonal changes (such as those occurring...[Read More] Understanding Migraines: Causes, Treatment, and Genetic Factors
Understanding the Side Effects of Stereotactic Minimally Invasive Surgery for Parkinson's Disease
Parkinson's disease What are the side effects of stereotactic minimally invasive brain surgery? Thank you.
Dr. Lin Zijing reply Neurology
Stereotactic minimally invasive surgery for Parkinson's disease can be divided into ablative procedures and deep brain stimulation (DBS). Thalamic and pallidal ablation can effectively improve symptoms in patients with severe Parkinson's disease; however, these ablative...[Read More] Understanding the Side Effects of Stereotactic Minimally Invasive Surgery for Parkinson's Disease
Comprehensive Evaluation for Persistent Nerve and Muscle Symptoms
May I ask about a single examination? Hello, Doctor: I am an office worker who spends most of the day sitting in front of a computer and rarely exercises. I've been experiencing symptoms for about a year, and since I haven't received treatment, my condition has worsened...
Dr. Lin Zijing reply Neurology
Normal lumbar spine X-rays and MRIs can differentiate between intervertebral disc and lumbar spine lesions. Therefore, it is important to consider lower pathologies such as piriformis syndrome, which may arise from piriformis injury, inflammation, overuse, or hemorrhage. Nearby t...[Read More] Comprehensive Evaluation for Persistent Nerve and Muscle Symptoms
Understanding Eye Muscle Twitches: Causes and Health Implications
Orbital muscle twitching Hello Dr. Lin, I have a question I would like to ask you. Recently, I have been experiencing slight and regular twitching in the muscles of my right eye, specifically in the lower eyelid area, both in the morning and in the afternoon. Does this have any...
Dr. Lin Zijing reply Neurology
Individuals with the following conditions are more likely to experience eyelid muscle twitching: 1. Irregular lifestyle: such as staying up late or insomnia. 2. Medication use or dietary imbalances: such as alcohol consumption or high-caffeine foods. 3. Conditions caused by disea...[Read More] Understanding Eye Muscle Twitches: Causes and Health Implications